Piezosurgery versus Rotatory Osteotomy in Mandibular Impacted Third Molar Extraction.

Area of Science:

• Oral and Maxillofacial Surgery
• Dental Technology

Background:

• Impacted mandibular third molars are frequently extracted.
• Conventional rotatory osteotomy is a common extraction method.
• Piezoelectric surgery offers a precise alternative for bone cutting.

Purpose of the Study:

• To compare piezoelectric surgery with rotatory osteotomy for mandibular third molar extraction.
• To evaluate postoperative outcomes including pain, swelling, and surgical time.

Main Methods:

• A study involving 30 patients undergoing bilateral mandibular third molar extractions.
• Patients were randomly assigned to either piezoelectric surgery (Piezotome) or conventional rotatory osteotomy.
• Outcomes measured included mouth opening, pain (VAS), swelling, dry socket, paresthesia, and surgical duration.

Main Results:

• Piezoelectric surgery demonstrated a statistically significant reduction in postoperative pain (P < 0.05).
• The mean surgical time for piezoelectric surgery was longer (51.40 ± 17.9 min) than for rotatory osteotomy (37.33 ± 15.5 min) (P = 0.002).

Conclusions:

• Piezoelectric surgery provides benefits such as soft tissue protection, improved visibility, and reduced vibration.
• Despite a longer operative time, piezoelectric surgery effectively decreases short-term pain and swelling.
• The technique offers significant advantages in reducing postoperative sequelae following third molar surgery.